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DEO M PEPPERSACK NP NPI 1770538811


NPI Information

NPI: 1770538811
Provider Name: DEO M PEPPERSACK, NP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Organization: 5 PEPPERS INC

PECOS Registration: Yes

Address:
217 W GEORGIA AVE STE 120
NAMPA, ID
ZIP 83686
Phone: (208) 498-1760
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Deo M Peppersack, NP is a family nurse practitioner in Nampa, ID with 20 years of experience. Deo M Peppersack, NP NPI is 1770538811. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

217 W GEORGIA AVE STE 120
NAMPA, ID
ZIP 83686-812
Phone: (208) 498-1760
Fax: (208) 498-1761

The NPI 1770538811 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Injection beneath the skin or into muscle for therapy, diagnosis, or prevention (HCPCS:96372)
  • Psychotherapy, 45 minutes with patient and/or family member (HCPCS:90834)
  • Psychotherapy, 60 minutes with patient and/or family member (HCPCS:90837)
  • Insertion of needle into vein for collection of blood sample (HCPCS:36415)
  • Psychiatric diagnostic evaluation (HCPCS:90791)

The enumeration date for this NPI number is 5/24/2006 and was last updated on 3/18/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1163W00000XRegistered NurseNP656AIDAHONo
2363LP0808XNurse PractitionerPsychiatric/Mental HealthNP656AIDAHONo
3363LF0000XNurse PractitionerFamilyNP656AIDAHOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1Q26365MEDICARE UPINIDAHO
2806976700MEDICAIDIDAHO
3NP191OTHERIDAHOBLUE CROSS
48083269MEDICAIDIDAHO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.